Gastrointestinal perforation in a critically ill patient with COVID-19 pneumonia.
COVID-19
critical care
duodenal perforation
general surgery
Journal
SAGE open medical case reports
ISSN: 2050-313X
Titre abrégé: SAGE Open Med Case Rep
Pays: England
ID NLM: 101638686
Informations de publication
Date de publication:
2020
2020
Historique:
received:
06
05
2020
accepted:
15
06
2020
entrez:
31
7
2020
pubmed:
31
7
2020
medline:
31
7
2020
Statut:
epublish
Résumé
Gastrointestinal complications in critically ill patients during the COVID-19 pandemic pose a diagnostic and treatment dilemma. We present a case of a 74-year-old male who was brought to our emergency department with worsening shortness of breath, fever, and dry cough and was found to have COVID-19 pneumonia. Early in his hospital course, he was admitted to the intensive care unit, and was found to have significant abdominal distension with large amounts of simple fluid on bedside ultrasound. Bedside paracentesis returned succus and enteric feeds, and a methylene blue test confirmed a likely gastrointestinal perforation. The patients' family refused surgical intervention and the patient underwent bedside drainage. This case represents several critical dilemmas clinicians faced during the recent surge of the COVID-19 pandemic.
Identifiants
pubmed: 32728444
doi: 10.1177/2050313X20940570
pii: 10.1177_2050313X20940570
pmc: PMC7366399
doi:
Types de publication
Case Reports
Langues
eng
Pagination
2050313X20940570Informations de copyright
© The Author(s) 2020.
Déclaration de conflit d'intérêts
Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Références
Endoscopy. 2013;45(3):222-5
pubmed: 23208777
Gut. 2020 Jun;69(6):997-1001
pubmed: 32241899
Intern Emerg Med. 2020 Apr 17;:
pubmed: 32303970
Clin Infect Dis. 2020 Jul 28;71(15):756-761
pubmed: 32161968
World J Emerg Surg. 2020 Jan 7;15:3
pubmed: 31921329
Emerg Microbes Infect. 2020 Dec;9(1):386-389
pubmed: 32065057
N Engl J Med. 1989 Apr 13;320(15):970-3
pubmed: 2927479
Crit Care. 2014 Mar 18;18(2):213
pubmed: 25029573
J Gastroenterol Hepatol. 2020 May;35(5):744-748
pubmed: 32215956
Int J Colorectal Dis. 2020 May 27;:
pubmed: 32458395
Allergy. 2020 Jul;75(7):1730-1741
pubmed: 32077115
Lancet. 1946 Sep 28;2(6422):441-4
pubmed: 20998912